Omentoplasty in rectal cancer surgery prolongs post-operative ileus
Recommend Documents
use of the total mesorectal excision and the use of short term preoperative radiotherapy (5). A MRI with a phase array coil (6) or a multislice CT scan can help.
Apr 14, 2010 - a neural reflex, which is dependent on release of media- tors, such as .... elicits digestive functions via vagovagal cholinergic re- flexes[61].
After total mesorectal excision, the anastomosis was created using either the single stapling or double stapling anastomotic technique. Anastomotic integrity.
Oct 28, 2005 - cision (TME), first introduced by Heald et al. ...... acknowledged is also Peter Sainio, MD, .... Elsaleh H, Joseph D, Levitt M, House A, Robbins.
Omentoplasty in rectal cancer surgery prolongs post-operative ileus
Oct 18, 2007 - longed post-operative ileus, as omentoplasty interrupts the blood flow from an epiploic artery to the stomach. Materials and methods Patients ...
Int J Colorectal Dis (2008) 32:165–169 DOI 10.1007/s00384-007-0392-x
ORIGINAL ARTICLE
Omentoplasty in rectal cancer surgery prolongs post-operative ileus Y. L. B. Klaver & S. W. Nienhuijs & G. A. P. Nieuwenhuijzen & H. J. T. Rutten & I. H. J. T. de Hingh
Accepted: 27 September 2007 / Published online: 18 October 2007 # Springer-Verlag 2007
Abstract Backgrounds and aim Omentoplasty is frequently used as a safeguard in rectal cancer surgery for wrapping the anastomosis or filling up the pelvic cavity. The omentum is known for its infection defence and haemostatic and angiogenic properties. A disadvantage was hypothesized to be prolonged post-operative ileus, as omentoplasty interrupts the blood flow from an epiploic artery to the stomach. Materials and methods Patients who had had an uncomplicated surgical treatment for primary rectal cancer between January 2006 and March 2007 were included. Clinical parameters of post-operative ileus were collected and compared between procedures with a concomitant omentoplasty (n=31) and without (n=20). Results Patients needed their gastric tube significantly longer after omentoplasty than those without (3.9 vs 1.6 days, p
